{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T16:39:37Z","timestamp":1780418377483,"version":"3.54.1"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T00:00:00Z","timestamp":1701043200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001504","name":"Ministry of Health, New Zealand","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001504","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Gerodontology"],"published-print":{"date-parts":[[2024,12]]},"abstract":"Objectives<\/jats:title>To compare the clinical validity of the three approaches in residential care facility residents.<\/jats:p><\/jats:sec>Background<\/jats:title>In NZ residential care facilities, the interRAI assessment tool is used by trained registered nurses for assessing oral status when new residents are admitted, but its validity has been questioned. Although Locker's global oral health item has been used to measure oral health in surveys and health services research, it is not routinely used in care facilities, yet its clinical validity has been demonstrated in population\u2010based samples. Self\u2010perceived oral health need may also be useful.<\/jats:p><\/jats:sec>Materials and methods<\/jats:title>Using a secondary analysis of clinical and self\u2010reported data from a national survey of nursing home residents (the 2012 New Zealand Older People's Oral Health Survey, or OPOHS), we compared the validity of Locker's item, the interRAI tool and self\u2010reported treatment need for identifying three key clinical indicators of poor oral health among dentate older adults; those were coronal caries (3+ teeth affected), root caries (1+ teeth affected) and xerostomia. Analyses were conducted using STATA, and survey weighting was used to obtain estimates for a source population of 25\u2010843 individuals.<\/jats:p><\/jats:sec>Results<\/jats:title>The prevalence of 3+ teeth with coronal caries was 28.7% (23.9, 34.0), the prevalence of 1+ teeth with root caries was 33.7% (28.7, 39.0), the prevalence of xerostomia was 23.1% (18.4, 28.3). Marked gradients in prevalence risk ratio were seen across different categories of Locker's global oral health item and the interRAI assessment tooth for coronal caries and xerostomia. Locker's global oral health item gave a better fitting model and was more discriminative in detecting coronal caries than the interRAI assessment tool (Lockers AIC = 0.76, interRAI AIC = 0.81). None of the approaches was particularly discriminative for root surface caries experience.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Self\u2010reported approaches are discriminative for poor oral health. Standardised assessment tools used in residential care facilities should consider including a self\u2010assessment component such as Locker's global oral health item.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ger.12729","type":"journal-article","created":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T23:30:05Z","timestamp":1701127805000},"page":"472-478","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparing approaches to determining poor oral health among older adults in a national survey"],"prefix":"10.1111","volume":"41","author":[{"given":"Alice J.","family":"Horncastle","sequence":"first","affiliation":[{"name":"Department of Oral Sciences, Faculty of Dentistry Sir John Walsh Research Institute, University of Otago Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor D.","family":"Gauld","sequence":"additional","affiliation":[{"name":"Department of Oral Sciences, Faculty of Dentistry Sir John Walsh Research Institute, University of Otago Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moira B.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Public Health, Faculty of Medicine, Wellington School of Medicine University of Otago Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0588-6843","authenticated-orcid":false,"given":"W. Murray","family":"Thomson","sequence":"additional","affiliation":[{"name":"Department of Oral Sciences, Faculty of Dentistry Sir John Walsh Research Institute, University of Otago Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,27]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"World Population Ageing 2019: Highlights (ST\/ESA\/SER.A\/430)","author":"United Nations","year":"2019"},{"key":"e_1_2_9_3_1","first-page":"128","article-title":"\u201cAgeing in place\u201d: the views of older homeowners on maintenance, renovation and adaptation","volume":"27","author":"Davey J","year":"2006","journal-title":"Soc Policy J N Z"},{"key":"e_1_2_9_4_1","volume-title":"Aged Residential Care Industry Profile 2019\u201320","author":"NZAC Association","year":"2019"},{"key":"e_1_2_9_5_1","volume-title":"Our older people's oral health: key findings of the 2012 New Zealand older people's oral health survey: a report for the Ministry of Health by CBG Health Research Limited","author":"CBG Health Research Limited","year":"2015"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2020.06.041"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12085"},{"issue":"2","key":"e_1_2_9_8_1","first-page":"67","article-title":"Oral health and well\u2010being of older adults in residential aged\u2010care facilities: issues for public health policy","volume":"106","author":"Smith MB","year":"2010","journal-title":"N Z Dent J"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12337"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-019-1349-y"},{"key":"e_1_2_9_11_1","doi-asserted-by":"crossref","unstructured":"interRAI New Zealand.Annual report 2020\/2021.2021.","DOI":"10.1787\/ada3f33d-en"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12421"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12458"},{"key":"e_1_2_9_14_1","volume-title":"Methodology report for the New Zealand older people's oral health survey","author":"Smith MB","year":"2015"},{"key":"e_1_2_9_15_1","volume-title":"Oral health indicators and determinants for population health surveys. A report for health Canada","author":"Locker D","year":"2001"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaa099"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-020-03669-8"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1159\/000345078"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/cre2.481"}],"container-title":["Gerodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ger.12729","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T10:21:06Z","timestamp":1735640466000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ger.12729"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,27]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1111\/ger.12729"],"URL":"https:\/\/doi.org\/10.1111\/ger.12729","archive":["Portico"],"relation":{},"ISSN":["0734-0664","1741-2358"],"issn-type":[{"value":"0734-0664","type":"print"},{"value":"1741-2358","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,27]]},"assertion":[{"value":"2023-11-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}